Individual
COLIN W FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
(218) 281-9553
Mailing address
323 S MN ST, CROOKSON, MN 56716-1601
(218) 281-9553
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
44689
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812029300
—
MN
Enumeration date
02/02/2006
Last updated
01/13/2009
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